Features of indicators of crus rheogram in practically healthy teenagers of different somatotypes

  • L. L. Hmel National Pirogov Memorial Medical University, Vinnytsya, Ukraine
  • V. O. Gnenna National Pirogov Memorial Medical University, Vinnytsya, Ukraine
  • О. А. Serebrennikova National Pirogov Memorial Medical University, Vinnytsya, Ukraine
  • N. M. Smolko National Pirogov Memorial Medical University, Vinnytsya, Ukraine
Keywords: indicators of crus rheogram, somatotype, practically healthy girls and boys, sexual differences.


Norms for assessing the functional state of the peripheral vascular system are developed, as a rule, without regard to age, gender and somatotype. The purpose of the study is to establish features of the indicators of crus rheogram in practically healthy girls and boys of different somatotypes, residents of the Podillia region of Ukraine. Rheographic indicators of the cohort of 108 practically healthy girls aged from 12 to 15 years old and 103 boys aged from 13 to 16 years and 103, urban residents of the Podillia region of Ukraine, were determined using a cardiology computer diagnostic complex. Anthropometric survey was conducted in accordance with the scheme of V. V. Bunak (1941). To evaluate the somatotype of adolescents, the mathematical scheme of J. Carter and B. Heath (1990) was used. The statistical processing of the obtained results was carried out in the license package "Statistica 5.5" using nonparametric methods for evaluating the obtained results. As a result of the research, it was found that most of the amplitudes and some of the derived indicators of the crus rheogram in girls of the mesomorphic somatotype are significantly lower or tend to be smaller than those of other somatotypes, while the time of the rising part of the rheogram and the time of slow blood filling are significantly higher than at representatives of an ectomorphic somatotype. In boys of mesomorphic somatotype, the basic impedance and amplitude of the systolic wave and the average speed of fast and slow blood flow of the rheogram are significantly lower or tend to be lower than those of other somatotypes, while the time of the ascending part and fast blood flow of rheograms and the diastolic index are significantly greater than in the representatives of the ecto-mesomorphic somatotype. It has also been found that almost half of the amplitude and derivative indices are significantly higher in girls than in boys of corresponding somatotypes, and most of the time - on the contrary, in boys, than in girls of corresponding somatotypes. Thus, indicators of crus rheogram in practically healthy girls and boys of different somatotypes, inhabitants of the Podillia region of Ukraine have pronounced differences mainly between the representatives of mesomorphic and ectomorphic somatotypes. Established pronounced manifestations of sexual dimorphism of indicators of crus rheogram between adolescents of corresponding somatotypes.


[1] Agrawal, K., & Eberhardt, R. T. (2015). Contemporary medical management of peripheral arterial disease: a focus on risk reduction and symptom relief for intermittent claudication. Cardiol. Clin., 33(1), 111-137. doi: 10.1016/j.ccl.2014.09.010

[2] Ahimastos, A. A., Pappas, E. P., Buttner, P. G., Walker, P. J., Kingwell, B. A., & Golledge, J. (2011). A meta-analysis of the outcome of endovascular and noninvasive therapies in the treatment of intermittent claudication. J. Vasc. Surg., 54(5), 1511-1521. doi: 10.1016/j.jvs.2011.06.106

[3] Azhim, А., Akioka, K., Akutagawa, M., Hirao, Y., Yoshizaki, K., Obara, S., … Kinouchi, Y. (2007). Effect of gender on blood flow velocities and blood pressure: role of body weight and height. Conf. Proc. IEEE Eng. Med. Biol. Soc., 2007, 967-970. doi: 10.1109/IEMBS.2007.4352453

[4] Bogachuk, О. P., & Shevchenko, V. M. (2007). Changes in the parameters of the rheoencephalogram in urban adolescents in the Podillia region of Ukraine, depending on the characteristics of the somatotype. Biomedical and Biosocial Аnthropolоgy, 8, 45-49.

[5] Bunak, V. V. (1941). Anthropometry: a practical course. М.: Uchpedgiz.

[6] Camargo-Arias, E., Aponte-Rodriguez, J., Banchs-Pieretti, H., & Altieri-Nieto, P. I. (2015). Screening for Peripheral Arterial Disease. Boletin de la Asociacion Medica de Puerto Rico, 107(3), 95-97. PMID: 26742205

[7] Carter, J. L., & Heath, B. H. (1990). Somatotyping – development and applications. Cambridge University Press. ISSN 0957-0306

[8] Criqui, M. H., & Aboyans, V. (2015). Epidemiology of peripheral artery disease. Circulation research, 116(9), 1509-1526. https://doi.org/10.1161/CIRCRESAHA.116.303849

[9] Dilenyan, L. P., Bagriy, A. S., Dilenyan, L. P., Belkaniya, G. S., Bagriy, A. S., Korepanov, S. K., … Puhalskaya, L. G. (2015). Anthropophysiological characteristics of the "hemodynamic model" of the age dynamics of blood circulation in humans. Modern problems of science and education, 2(2), 26-34.

[10] Ferreira, A. C., & Macedo, F. Y. B. (2010). A review of simple, non-invasive means of assessing peripheral arterial disease and implications for medical management. Annals of medicine, 42(2), 115-126. https://doi.org/10.3109/07853890903521070

[11] Fowkes, F. G. R., Aboyans, V., Fowkes, F. J., McDermott, M. M., Sampson, U. K., & Criqui, M. H. (2017). Peripheral artery disease: epidemiology and global perspectives. Nature Reviews Cardiology, 14(3), 156-170.

[12] Fronek, A., Criqui, M. H., Denenberg, J., & Langer, R. D. (2001). Common femoral vein dimensions and hemodynamics including Valsalva response as a function of sex, age, and ethnicity in a population study. Journal of vascular surgery, 33(5), 1050-1056. doi: 10.1067/mva.2001.113496

[13] Hennion, D. R., & Siano, K. A. (2013). Diagnosis and treatment of peripheral arterial disease. Am. Fam. Physician., 88(5), 306-310.

[14] Hirsch, A. T., Hartman, L., Town, R. J., & Virnig, B. A. (2008). National health care costs of peripheral arterial disease in the Medicare population. Vasc. Med., 13(3), 209-215. doi: 10.1177/1358863X08089277

[15] Kapilevich, L. V., Kabachkova, A. V., & Dyakova, E. Yu. (2009). Age morphology: Tutorial. Tomsk: Tomsk State University.

[16] Kyrychenko, І. М. (2002). Features of the amplitude and temporal indices of thoracic rheograms in adolescents, depending on age, gender and somatotype. Reports of morphology, 8(2), 329-337.

[17] Komarova, L. N., Ryakhin, R. N., Aliev, F. S., & Zvezda, S. A. (2018). Ten-year results of varicose veins treatment. The Russian Archives of Internal Medicine, 3, 215-218.

[18] McDermott, M. M. (2015). Lower extremity manifestations of peripheral artery disease: the pathophysiologic and functional implications of leg ischemia. Circulation research, 116(9), 1540-1550. https://doi.org/10.1161/CIRCRESAHA.114.303517

[19] Morоz, V. М., Gunas, І. V., Kyrychenko, І. М., Saraphinyuk, L. А., & Kostenko, М. P. (2003). Changes in some indicators of thoracic rheograms in adolescents, depending on the characteristics of the somatotype. The article is presented in the chronological index of printed works for the period from 1990 to 2003 « Bibliography of scientists of the Academy of Medical and Technical Sciences of Ukraine », Khmelnitsky-Vinnytsia (pp. 80-86). Khmelnitsky-Vinnytsia: [b.v.].

[20] Nead, K. T., Cooke, J. P., Olin, J. W., & Leeper, N. J. (2013). Alternative ankle-brachial index method identifies additional at-risk individuals. Journal of the American College of Cardiology, 62(6), 553-559. doi: 10.1016/j.jacc.2013.04.061

[21] Olson, T. P., Schmitz, K. H., Leon, A. S., & Dengel, D. R. (2006). Vascular structure and function in women: relationship with body mass index. American journal of preventive medicine, 30(6), 487-492. doi: 10.1016/j.amepre.2006.02.006

[22] Proctor, D. N., Le, K. U., & Ridout, S. J. (2005). Age and regional specificity of peak limb vascular conductance in men. Journal of Applied Physiology, 98(1), 193-202. doi: 10.1152/japplphysiol.00704.2004

[23] Rada, C., Oummou, S., Merzouk, F., Amarir, B., Boussabnia, G., Bougrini, H., ... & Elhattaoui, M. (2016). Ankle-brachial index screening for peripheral artery disease in high cardiovascular risk patients. Prospective observational study of 370 asymptomatic patients at high cardiovascular risk. Journal des maladies vasculaires, 41(6), 353-357. doi: 10.1016/j.jmv.2016.10.003

[24] Ridout, S. J., Parker, В. А., & Proctor, D. N. (2005). Age and regional specificity of peak limb vascular conductance in women. Journal of Applied Physiology, 99(6), 2067-2074. doi: 10.1152/japplphysiol.00825.2005

[25] Roumia, M., Aronow, H. D., Soukas, P., Gosch, K., Smolderen, K. G., Spertus, J. A., & Abbott, J. D. (2017). Sex differences in disease-specific health status measures in patients with symptomatic peripheral artery disease: Data from the PORTRAIT study. Vascular Medicine, 22(2), 103-109. https://doi.org/10.1177/1358863X16686408

[26] Shvalb, P. G., & Uhov, Yu. I. (2009). Pathology of venous return from the lower extremities. Ryazan: «Tigel».

[27] Szuba, A., Oka, R. K., Harada, R., & Cooke, J. P. (2006). Limb hemodynamics are not predictive of functional capacity in patients with PAD. Vascular medicine, 11(3), 155-163. https://doi.org/10.1177/1358863x06074828

[28] Tabatabaeifar, S., Frost, P., Andersen, J. H., Jensen, L. D., Thomsen, J. F., & Svendsen, S. W. (2015). Varicose veins in the lower extremities in relation to occupational mechanical exposures: a longitudinal study. Occup. Environ. Med., 72(5), 330-337. doi: 10.1136/oemed-2014-102495

[29] Tsvyntarnyi, A. V., & Vadzuk, S. N. (2014). Features of the derivative indices of the rheogram of the thigh in healthy young men and girls of all ages. Bulletin of scientific research, 1(74), 37-39.

[30] Vadzuk, S. N., & Tsvyntarnyi, A. V. (2015). Age features of time and amplitude rheogram data of the thigh in healthy urban boys and girls. Bulletin of scientific research, 1(78), 20-22.

[31] Vebyakova, N. A., Fadeeva, N. A., & Feliksova, O. M. (2013). Gender features of hemodynamic reactions to loading. Basic research, 5(1), 33-37.

[32] Vereskun, Z. F., & Vereskun, S. B. (2011). The place of rheography in the clinical diagnosis of vascular pathology. New medicine of the millennium, 1, 56-58.

[33] Vysochanskyi, O. V. (2015). Sexual peculiarities of the relationships of indices of rheovasogram with anthropo-somatotypological parameters in healthy teens of mesomorphic somatotype. Abstracts are presented in the materials of the international scientific and practical conference “Medical science and practice: topical issues of interaction”, (Kyiv, pp. 60-63). Kyiv: Kiev Medical Scientific Center.

[34] Cooke, J. P., & Wilson, A. M. (2010). Biomarkers of peripheral arterial disease. Journal of the American College of Cardiology, 55(19), 2017-2023. doi: 10.1016/j.jacc.2009.08.090

[35] Zelinsky, B. O., Zlepko, S. M., Kostenko, M. P., & Kovalchuk, B. M. (2000). Portable multifunctional device for diagnosing the vascular bed of the circulatory system. Measuring and computing engineering in technological processes, 1, 125-132.
How to Cite
Hmel, L. L., Gnenna, V. O., SerebrennikovaО. А., & Smolko, N. M. (2018). Features of indicators of crus rheogram in practically healthy teenagers of different somatotypes. Biomedical and Biosocial Anthropology, (33), 41-46. https://doi.org/https://doi.org/10.31393/bba33-2018-7